Life and Health Product Review
Rate Filing Requirements
Additional Periodic Rate Filings, Certifications or Reports
Annual Rate Certification Filings
Section 627.410(7), Florida Statutes
Rule 69O-149.007,Florida
Administrative Code
Universal Standardized Data Letter
Universal Standardized Data Letter Instructions
Actuarial Certification - see Rule
69O-149.007(5) Florida Administrative Code for format
Rule 69O-149.007(5), Florida
Administrative Code
Small Employer Group Actuarial Certification
Section 627.6699, Florida Statutes
Rule 69O-149.038(1) (b), Florida
Administrative Code
Actuarial Certification - see Rule
69O-149.038(1)(b), FAC
for language
Small Employer Group Underwriting Experience
Report
Section 627.6699(6)(b)5, Florida Statutes
Rule 69O-149.038(3), Florida
Administrative Code
OIR-B2-1575 - Small Employer Group Underwriting experience
Reporting Form
Annual Medicare Supplement Refund Calculation Report
Section 627.6745(5), Florida Statutes
Rule
69O-156.011(2), Florida Administrative Code
OIR-B2-MSR -- Medicare Supplement Refund Calculation Form (with macros to break external links)
OIR-B2-MSB -- Reporting Forms for the Calculation of Benchmark Loss Ratio since Inception (with macros to break external links)
Self-Funded Health Benefit Plans for Local
Governmental Units
Section 112.08, Florida Statutes
Rule 69O-149.051-053, Florida
Administrative Code
OIR-B2-570 -- General Information for Self-funded Health Benefit
Plans
OIR-B2-571 -- Specific Information on Self-funded Health Benefit
Plans
OIR-B2-572 -- Annual Report of Self-funded Health Benefit Plans
OIR-B2-573 -- Operating Projects for Self-funded Health Benefit
Plans
OIR-B2-574 -- Deficit Elimination Plan for Self-funded Health
Benefit Plans
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Annual Credit Life/Disability Experience
Report
Sections
627.676 -
627.6845, Florida Statutes
Rule 69O-163, Florida
Administrative Code
Long-Term Care
Rule 69O-157, Florida Administrative Code
OIR-B2-1552 -- Rescission Reporting (Appendix A) Due March 1
Annually
OIR-B2-1553 -- Claims Denial Report Form (Appendix E) Due
June 30 Annually
OIR-B2-1554 -- Potential Rate Increase Disclosure Form
(Appendix F)
OIR-B2-1555 -- Replacement and Lapse Reporting Form
(Appendix J) due June 30 Annually
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